1例报告:宫颈细胞血管纤维瘤

M. Hidayatullah, S. Arifuddin, Nur Rakhmah
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引用次数: 0

摘要

背景:细胞血管纤维瘤是Nucci等人于1997年提出的一种发生在远端生殖器的罕见良性肿瘤,可发生于46 - 54岁的女性和男性。在女性中,它通常发生在外阴和阴道。这些肿瘤通常被诊断为Bartholin囊肿、外阴囊肿、肌瘤和未明确的复杂肿瘤。目的:报告一例既往诊断为宫颈肌瘤的细胞血管纤维瘤病例。病例:51岁女性,5次流产,主诉4个月以来感觉肿块进进出出,1周后感觉肿大不能再插入,诊断为宫颈肿瘤。1年前有绝经史。病人一般情况良好,生命体征在正常范围内。腹部体格检查未见肿块、压痛或血流。经检查,阴道开口处有一红色肿块,呈黑色坏死样。在阴道检查中,发现一个固体稠度的肿块,有子宫颈的印象,肿瘤柄的边界未触及。本例患者行全腹子宫切除术和双侧输卵管卵巢切除术,解剖病理检查为宫颈血管纤维瘤,结果为非特异性慢性炎症和非典型复杂子宫内膜腺增生。结论:细胞性血管纤维瘤是一种罕见的肿瘤,常见于外阴及阴道,常被诊断为Bartholin囊肿、外阴囊肿、肌瘤及不明复杂肿瘤。以完全切除肿瘤组织的方式进行治疗,复发率很低。关键词:宫颈血管纤维瘤;宫颈肿瘤
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Case Report : Cervical Cellular Angiofibroma
Background: Cellular angiofibroma is a rare benign tumor in the distal genitalia introduced by Nucci et al in 1997 that can occur in both women and men with an age range of 46 – 54 years. In women it usually occurs in the vulva and vagina. These tumors are often diagnosed as Bartholin cysts, vulvar cysts, myomas, and unspecified complex tumors. Objective: Report a case of cellular angiofibroma previously diagnosed with cervical myoma Case: A 51-year-old female patient para 5 abortion 0 with complaints of lumps that have been felt to come in and out since 4 months but since 1 week it feels enlarged and cannot be inserted again, and diagnosed as cervical tumor. History of menopause since 1 year ago. The general condition of the patient is good with vital signs within normal limits. On physical examination of the abdomen, there was no tumor mass, tenderness or flux. On inspection, there was a reddish mass coming out of the vaginal introitus with some blackish necrotic appearance. On vaginal examination, a mass with a solid consistency was found with the impression of the cervix with a border of the tumor stalk that was not palpable. In this patient, Total Abdominal Hysterectomy and Bilateral Salpingoophorectomy were performed and the tissue was examined for anatomical pathology with cervical angiofibroma results with non-specific chronic inflammation and atypical complex endometrial gland hyperplasia.  Conclusion : Cellular angiofibroma is a rare tumor that usually occur in the vulva and vagina, which is often diagnosed as Bartholin's cyst, vulvar cyst, myoma and unspecified complex tumor. Action in the form of total excision of tumor tissue gives a low recurrence. Keywords : Cervical angiofibroma, cervical tumor
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